Coronary air embolism in off-pump surgery caused by blower-mister device.
Gaseous emboli caused by the blower-mister result in air locks within coronary vessels. We describe the case of a coronary air embolism caused by a blower-mister device on off-pump surgery. The tip of the device unexpectedly entered the coronary artery through arteriotomy and caused the air emboli. Air locks in the coronary circulation led to hemodynamic deterioration, and cardiopulmonary bypass was started following the emergency cannulation.
Korkmaz
Askin Ali
AA
Department of Cardiovascular Surgery, Sema Hospital, Istanbul, Turkey. aakorkmaz@gmail.com
Guden
Mustafa
M
Korkmaz
Feride
F
Yuce
Murat
M
D000368:Aged; D000714:Anastomosis, Surgical; D002404:Catheterization; D047549:Coronary Artery Bypass, Off-Pump / Q000295:instrumentation*; D003331:Coronary Vessels; D004618:Embolism, Air / Q000175:diagnosis / Q000209:etiology*; D004632:Emergency Medical Services; D006324:Heart Arrest, Induced / Q000379:methods; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D012307:Risk Factors